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Healthy Skepticism Library item: 19013

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: news

Chazan D
France pledges reform after diabetes drug scandal
BBC News 2011 Jan 15
http://www.bbc.co.uk/news/world-europe-12200506


Full text:

French Health Minister Xavier Bertrand has promised a complete revamp of the country’s medical regulatory system.

He was speaking after an official report said a diabetes drug which caused up to 2,000 deaths should have been banned 10 years earlier.

The drug – known as Mediator – should have been banned as early as 1999, when it began to emerge that it could cause heart disease, the report said.

Several other European countries and the US then withdrew it.

‘Political connections’
But Mediator remained on sale in France for another 10 years.

Between 500 and 2,000 people in France are believed to have died because of its side effects.

It was developed to treat diabetics but millions of people took it simply to lose weight.

The report by a government agency, the Social Affairs Inspectorate, said it was incomprehensible that the authorities had failed to act sooner.

Mr Bertrand said it was now his duty to rebuild the regulatory system to protect the public.

His statement is being seen as an admission that one of the biggest medical scandals in France in recent years may not be an isolated case.

The affair has become politicised as the pharmaceutical company which manufactured the drug, Servier, reportedly had high-level political connections.

The health minister himself has been implicated by French media reports alleging that two of his advisors had previously worked for the company.

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963